RJS & Associates, LLC

Group Insurance Guidelines

2-50 Employees

• Employer Must Employee 2 Full Time Eligible employees
• Employees Must be on payroll and eligible for coverage
• Employees Must work between 17.5 and 40 Hours (employer sets this hourly requirement)
• Employer Must Contribute at least 50% of the “employee only” premium
• Employee Waiting Periods set at either 30, 60, or 90 days
• Employer Must provide Workers Compensation  not owner only policy)
• Insurance Carriers may and/or will require a wage report, Quarterly 132 (other documents may work) at time of enrollment
• Articles of Incorporation may be needed if the owner is not on payroll
• Oregon Standardized Business Form
• Contract Rates once the policy is sold, are valid for one calendar year. Rates to not change once the policy is in force regardless of fluctuation of employees.  You may cancel the policy at any time.

Individual Health Insurance

Guidelines

Individual health insurance is much different then group insurance.  The main differences are:

1.  Group Insurance:  You do not need to Health Qualify; the carrier "must" insure you.  However, they may be able to impose a pre-existing waiting period on certain medical conditions if no other continuous coverage has been in place.  Rates are generally higher then individual as rates are based on the blended "average" age of employee and the demographics of the group (ie., how many males vs females etc).

2.  Individual Insurance:  You must complete a 50 question health questionnaire/application that outlines your basic health history.  Rates are generally lower then a group policy as they are individually age rated.  However you may be denied coverage if you have pre-existing health conditions (i.e. Diabetes, pregnancy, Heart Disease etc).

We recommend you speak to us about both these options to better determine which direction is best suited for you and your employees.

Its Strongly Recommended that you "NEVER" terminate your health coverage until you have approval from another insurance carrier with a group number in hand.